Healthcare Provider Details

I. General information

NPI: 1114642295
Provider Name (Legal Business Name): NATALIE DEAN HAMMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2022
Last Update Date: 10/11/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 S COLLEGE AVE
SALEM VA
24153-5064
US

IV. Provider business mailing address

2535 WINDSOR AVE SW
ROANOKE VA
24015-2226
US

V. Phone/Fax

Practice location:
  • Phone: 540-387-2513
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14380962
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14380962
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: